Costco Wholesale Corporation
Costco Wholesale Corporation is an Eyewear Supplier in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2015.
- Licensed in
- TX
- In the registry since
- 2015
Practice location Address checks out
2601 E State Highway 114Southlake, TX 76092-6668
Phone: (817) 749-2800
Fax: (817) 749-2817
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence CP20045 (TX) |
|---|
Record details
| NPI number | 1417341801 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Costco Wholesale Corporation |
| Authorized official | Art Salas — Avp Optical · (817) 749-2801 |
| Other names | Costco Optical #669; Costco Optical #669 |
| NPI enumerated | March 24, 2015 |
| Last updated in NPPES | March 4, 2020 |
| Certification date | March 4, 2020 |
| Mailing address | Po Box 35005, Seattle, WA 98124-3405 |
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